Age dependence of brain oxygen metabolism in adults assessed by 3D constrained quantitative BOLD MRI
Year: 2026
Type: article
Study design: Observational Study
Abstract: Global and regional variations in cerebral oxygen metabolism are known to be associated with both healthy aging and the early stages of neurodegeneration. To quantify age effects, a recently developed 3D constrained qBOLD protocol was implemented to determine voxelwise OEF, integrated with ASL-derived CBF measurements to compute CMRO 2 . Thirty-four healthy adults (23–87 years) were examined to identify global and regional patterns of cerebral oxygen metabolism across younger (<35, n = 15) and older (>50, n = 19) adults. Whole-brain OEF was greater in older than in younger adults (40.2 ± 5.1 % vs 34.5 ± 4.6 %, P = 0.002), whereas CBF was lower (39.5 ± 10.3 vs 48.3 ± 8.3 mL/100 g /min, P = 0.011), resulting in comparable CMRO 2 (144.0 ± 31.8 vs 150.7 ± 30.0 µmol/100 g /min, P = 0.537). Across participants, OEF increased by 1.5 % and CBF declined by 2.1 % per decade. Regionally, OEF was greater in older adults within medial temporal lobe (MTL) (37.4 ± 5.9 % vs 32.2 ± 5.1 %), hippocampus (37.2 ± 7.0 % vs 29.1 ± 6.1 %), amygdala (38.3 ± 8.6 % vs 27.9 ± 6.1 %), thalamus (40.5 ± 6.4 % vs 32.5 ± 7.1 %), striatum (42.7 ± 5.3 % vs 36.2 ± 5.5 %), frontal (38.7 ± 5.2 % vs 34.7 ± 5.0 %), parietal (43.9 ± 5.1 % vs 38.2 ± 5.5 %), and occipital (40.7 ± 6.3 % vs 35.1 ± 5.3 %) lobes, all P < 0.05. CMRO 2 differed between older vs younger subjects only in the amygdala (126.6 ± 35.9 vs 97.5 ± 31.6 μmol/min/100 g, P = 0.01). Exploring regional heterogeneity, MTL and its substructures exhibited reduced OEF relative to whole-brain averages in both groups. Overall findings indicate that cerebral oxygen metabolism remains largely preserved throughout adulthood. The combined qBOLD–ASL technique offers a robust framework for detecting regional variations in brain oxygen metabolism, characterizing both normative cerebrovascular aging and possibly early stages of neurodegeneration.
Source: NeuroImage
Institutions: University of Pennsylvania, Kyungpook National University
Language: English
Subfield: Radiology, Nuclear Medicine and Imaging
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,540
Awards: MRI-Based Regional Assessment of Cerebral Metabolism Via 3D Quantitative BOLD, Center for Advanced Metabolic Imaging in Precision Medicine (CAMIPM), Simultaneous PET/MR Imaging of Brain Glucose and Oxygen Metabolism to Assess Energy Deficits Related to Alzheimer's Disease and the Response to Intervention, Training in Structural, Physiologic and Functional Magnetic Resonance Imaging, Academic Industrial Partnership on Advanced Perfusion MRI
OpenAlex ID: W7159606254
